A child who weighs 30 kg is experiencing a grand mal seizure.

The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials.

How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).

Answer and Explanation

The Correct Answer is ["1.8"]

Step 1: Calculate the total dose of diazepam for this child by multiplying the child’s weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg × 0.3 mg/kg = 9 mg).

Step 2: Divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg ÷ 5 mg/mL = 1.8 mL).

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Correct Answer is B

Explanation

Choice B rationale
The absence of continuous headaches in the child indicates that the VP shunt is functioning normally. A VP shunt is used to treat hydrocephalus by draining excess cerebrospinal fluid from the brain to the abdomen. If the shunt is functioning properly, it should relieve pressure on the brain and reduce symptoms such as headaches.
Choice A rationale
While growth in height could be a positive sign of overall health and development, it does not specifically indicate that a VP shunt is functioning properly.
Choice C rationale
The presence of an intracranial pressure (ICP) monitoring probe does not indicate whether the shunt is functioning properly. The probe is a device used to measure ICP and does not provide information about the functionality of the shunt.
Choice D rationale
Being afebrile with normal vital signs postoperatively is a positive sign, but it does not specifically indicate that the shunt is functioning properly.

A. Fever 101.0° F (38.3°C) B. Barking cough, worse at night C. Frequent crying during nursing D. Difficulty swallowing secretions .

Correct Answer is D

Explanation

Choice A rationale
While a fever could indicate an infection or other illness, it is not the most concerning symptom in a child with croup. Croup is primarily a respiratory condition, and symptoms related to breathing difficulties are generally of greater concern.
Choice B rationale
A barking cough is a common symptom of croup, but it is not typically the primary concern for a telephone triage nurse. While it can be distressing, it is not usually a sign of a severe or life-threatening condition.
Choice C rationale
Frequent crying during nursing could indicate discomfort or distress, but it is not the most concerning symptom in a child with croup. Croup primarily affects the respiratory system, and symptoms related to breathing difficulties are generally of greater concern.
Choice D rationale
Difficulty swallowing secretions is the most concerning symptom in a child with croup. This could indicate severe swelling of the airway, which could potentially lead to breathing difficulties and require immediate medical attention.

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Naxlex Comprehensive Predictor Exams

The nurse is monitoring a child with hydrocephalus who received a ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?

Correct Answer is B

Explanation

When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

Correct Answer is D

Explanation

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?

The parents of a 14-month-old child, hospitalized due to febrile seizures, express their concern to the nurse about their child having seizures for life. What information should the nurse share with these parents?

When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to consume a source of sugar if which symptom occurs?

The nurse observes a mother administering ferrous sulfate (iron drops) to her 11-month-old child, followed by 2 ounces (60 mL) of orange juice. What should be the nurse’s subsequent action?

While checking the vital signs of a 10-year-old child who underwent a tonsillectomy earlier in the day, the nurse notices the child swallowing every 2 to 3 minutes. What action should the nurse take next?

A mother brings her 2-month-old to the well-baby clinic. She states that when she kisses her baby, the infant’s skin tastes salty. The nurse should prepare the mother for what standard diagnostic test to screen for cystic fibrosis (CF)?